| NPI | 1134385479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. SANDERS Office Manager 501-327-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2704) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |